Organization Active NPI

Kidney Disease Consulting Group

  • Clinic/Center
  • Glendale, CA
National Provider Identifier
1447138227
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIDNEY DISEASE CONSULTING GROUP
Practice address
1505 Wilson Ter
Glendale, CA 91206-4071
Phone
(818) 590-5940
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivet Sarkissian PekachekiNPI 1124117643
Title
Owner
Phone
(818) 590-5940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1505 Wilson Ter
Glendale, CA 91206-4071

Mailing address

501 W Glenoaks Blvd # 809
Glendale, CA 91202-2896

National Provider Directory

National Provider Directory

Locations

501 W Glenoaks Blvd
#809
Glendale, CA 91202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1447138227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD # 809",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-590-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DISEASE CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "SARKISSIAN PEKACHEKI",
        "authorized_official_first_name": "IVET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-590-5940"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.